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Consult Request Guidelines
for CSF Leak
Suggested Pre-Referral Evaluation and Management Guidelines
Suggested Additional Test/Management Prior to Specialty Visit
Consider Stealth high resolution protocol maxillofacial CT scan
If possible, obtain sample of nasal discharge for Beta-2 Transferrin testing
Patient Education/Information (includes preps)
Within 1 week
How to Get Results to Consultant
UMHS Patients: See CareWeb
External Patients: hand carry reports/records/films to visit
Clinic Contact Information
Clinic Location Sites
Livonia Center for Specialty Care
Taubman Health Care Center
UM Consulting Physician
Melissa Pynnonen, M.D.
Jeffrey Terrell, M.D.
Mark A Zacharek, M.D.